The Estates at Twin Rivers

Nursing Home in Ramsey

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Estates at Twin Rivers

Nursing Home in Ramsey

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of The Estates at Twin Rivers

The Estates at Twin Rivers is a nursing home in Anoka, MN, offering long-term care, skilled nursing, and rehabilitation. Promoting a supportive and inviting environment, the community ensures older adults can live comfortably in retirement. 24-hour care, healthy meals, and therapies are among the exceptional services provided to enrich residents’ living experiences. Through a holistic approach to care, residents receive high-quality care to help them recover and return to their routines with ease.

Games, recreational activities, and exercises provide residents with more opportunities to try out new hobbies and make friends. Residents can also rest comfortably, with thoughtfully furnished, private, and semi-private rooms. Situated near bus stops, leisure sites, and parks in Anoka, the community ensures residents have easy access to their necessities and leisure. This nursing home has exceptional standards of care, making it a good option for senior living in Minnesota.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5 ▼ 2.2 Minnesota average: 3.2/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5 ▼ 1.8 Minnesota average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
1/5 ▼ 3.1 Minnesota average: 4.1/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
2/5 ▼ 1.1 Minnesota average: 3.1/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Minnesota state averages

Total nursing care / resident Info This home is ranked 57th out of 68 homes in Minnesota.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 49m per day
Rank #57 / 68Nurse hours — state benchmarkedThis home is ranked 57th out of 68 homes in Minnesota.Shows adjusted nurse hours per resident per day benchmarked to the Minnesota average, with a ranking across 68 Minnesota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Minnesota avg (4h 46m per day)
vs Minnesota avg
-20%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +73% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 25m per day ▼ 61% State avg: 1h 4m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 4m per day ▲ 73% State avg: 37m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 0m per day ▼ 22% State avg: 2h 33m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 5m per day ▼ 16% State avg: 3h 41m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 2m per day ▼ 50% State avg: 4m per day · National avg: 4m per day
RN (Weekend) Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 17m per day ▼ 59% State avg: 41m per day · National avg: 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 45

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

Lower occupancy than the Minnesota average: 79.7%
Occupancy rate 73.4% Rank #48 / 69Occupancy rate — state benchmarkedThis home is ranked 48th out of 69 homes in Minnesota.Shows this facility's occupancy rate versus the Minnesota average, with its statewide rank out of 69. Higher occupancy signals strong local demand and financial stability.
Residents per day (avg) 36
Occupancy rate
73.4% Rank #48 / 69Occupancy rate — state benchmarkedThis home is ranked 48th out of 69 homes in Minnesota.Shows this facility's occupancy rate versus the Minnesota average, with its statewide rank out of 69. Higher occupancy signals strong local demand and financial stability.
Residents per day (avg)
36

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

57% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Privately-owned community
Home revenue
$5.4M
Profit
$156.8K
Privately-owned community
Home revenue
$5.4M Rank #59 / 68Revenue — state benchmarkedThis home is ranked 59th out of 68 homes in Minnesota.Shows this facility's annual revenue compared to the Minnesota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$156.8K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #63 / 68Payroll — state benchmarkedThis home is ranked 63rd out of 68 homes in Minnesota.Shows total annual staff payroll benchmarked to the Minnesota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$2.1M
39.5% of revenue Rank #48 / 68Payroll % — state benchmarkedThis home is ranked 48th out of 68 homes in Minnesota.Shows payroll as a percentage of revenue versus the Minnesota average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.1M
Total costs $5.3M

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Housekeeping icon
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Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Rehabilitative support icon
Rehabilitative support icon

Rehabilitative Support

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Types of Care at The Estates at Twin Rivers

Nursing Home

Contact The Estates at Twin Rivers

Compare Nursing Homes around Ramsey The information below is reported by the Minnesota Department of Health, Health Regulation Division.

1 facility compared · CMS & MN Dept. of Health data · Updated Apr 2026

Filter by care type
The Estates at Twin Rivers
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Anoka- 73.4% -8%3.82 --20%000.0036---$5.4M$2.1M39.5%245298

Financial Assistance for
Nursing Home in Minnesota

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Elderly Waiver

Minnesota Medicaid EW

Age 65+
General Minnesota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $3,000 individual, higher than most states
MN

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$70/day) Home aides

Essential Community Supports (ECS)

Minnesota ECS

Age 65+
General Minnesota resident, at risk of decline but not nursing home level.
Income Limits ~$1,732/month individual, varies
Asset Limits $3,000 individual
MN

Bridges gap for those ineligible for waivers.

Benefits
In-home support (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Alternative Care (AC) Program

Minnesota Alternative Care Program

Age 65+
General Minnesota resident, NFLOC, not MA-eligible.
Income Limits (2025) ~$1,255-$2,829/month (100%-300% FPL); sliding scale copays.
Asset Limits $3,000 (individual); home equity limit $713,000.
MN

CDCS option; statewide via counties.

Benefits
Personal care (4-6 hours/day) Respite (~5 days/year) Home health Meals Home mods

Minnesota Senior Health Options (MSHO)

Minnesota Senior Health Options

Age 65+
General Minnesota resident, eligible for MA and Medicare Parts A/B.
Income Limits (2025) ~$1,255/month (100% FPL for MA); spenddown allowed.
Asset Limits $3,000 (individual), $6,000 (couple).
MN

7 health plans (e.g., UCare, HealthPartners); care coordinator assigned.

Benefits
Personal care (5-7 hours/day) Medical care Respite Adult day care Home mods $900/year groceries (some plans)

Minnesota Senior Care Plus (MSC+)

Minnesota Senior Care Plus

Age 65+
General Minnesota resident, MA-eligible, not on Medicare.
Income Limits (2025) ~$1,255/month (100% FPL); spenddown allowed.
Asset Limits $3,000 (individual), $6,000 (couple).
MN

Includes EW services; 7 health plans available.

Benefits
Personal care (5-7 hours/day) Respite Adult day care Home mods Limited nursing home care

Consumer Support Grant (CSG)

Minnesota Consumer Support Grant

Age 65+ or disabled
General Minnesota resident, eligible for MA personal care but opts for grant.
Income Limits (2025) ~$1,255/month (MA-eligible); spenddown allowed.
Asset Limits $3,000 individual
MN

Can hire family; statewide via counties.

Benefits
Cash (~$500-$1,500/month) for personal care Respite Home mods Assistive tech

Medicare Savings Program (MSP)

Minnesota Medicare Savings Program

Age 65+ or disabled
General Minnesota resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MN

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Minnesota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Minnesota resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MN

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near The Estates at Twin Rivers

Address 0.6 miles from city center Info Estimated distance in miles from Anoka's city center to The Estates at Twin Rivers's address, calculated via Google Maps.

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Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Short-stay resident measures
Below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 30.9%
34% worse than Minnesota average

Minnesota average: 23.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.2%
41% better than Minnesota average

Minnesota average: 14.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Minnesota average

Minnesota average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 28.6%
47% worse than Minnesota average

Minnesota average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 50.5%
In line with Minnesota average

Minnesota average: 50.6%

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